The URL can be used to link to this page

650 BAY ESPLANADE. � U.S. DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency National Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. OMB No. 1660-0008 Expiration Date: November 30, 2018 Copy all pages of this Elevation Certificate and all attachments for (1) communiry official, (2) insurance aae�Ucom�anv. and (31 huildino nwnar SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Building Owner's Name Policy Number: BAY ESPLANADE PROJECT, LLC A2. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Company NAIC Number: 650 BAY ESPLANADE City State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Block Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 1, 2, 11, 12 & 13, BLOCK 82, MANDALAY - PARCELS 05-29-15-54756-082-0010 (0020, 0110, 0120 & 0130) A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) NON-RESIDENTIAL A5. Latitude/Longitude: Lat. 27.9881° N. Long. 82.8251° W. Horizontal Datum: � NAD 1927 x� NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) Zg 2gg sq ft b) Number of permanent flood openings in the crawispace or enclosure(s) within 1.0 foot above adjacent grade 40 c) Total net area of flood openings in A8.b 30,256 sq in d) Engineered flood openings? ❑x Yes ❑ No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/q sq in d) Engineered flood apenings? � Yes ❑x No SECTION B— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION B1. NFIP Community Name & Community Number 62. County Name B3. State CITY OF CLEARWATER - 125096 PINELLAS COUNTY FLORIDA B4. Map/Panel B5. Suffix 66. FIRM Index B7. FIRM Panel B8. Flood Zone(s) B9. Base Flood Elevation(s) Number Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12103C0102 G 8-18-09 9-3-03 AE 11' 610. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item B9: � FIS Profile � FIRM � Community Determined � Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 � Other/Source: 612. Is the building located in a Coastal Barrier Resources System (CBRS) area or Otherwise Protected Area (OPA)? � Yes �X No Designation Date: N/A � CBRS � OPA FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 1 of 6 G� GveTinN rFRTIFICOTE - � OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 650 BAY ESPLANADE �ity State ZIP Code Company NAIC Number CLEARWATER FLORIDA 33767 SECTION C— BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction" � Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones A1—A30, AE, AH, A(with BFE), VE, V1—V30, V(with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, enter meters. Benchmark Utilized: CLEARWATER BM "I-03" Vertical Datum: N.A.V.D. 1988 Indicate elevation datum used for the elevations in items a) through h) below. � NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) 5. 40 � feet ❑ meters b) Top of the next higher floor 21 , 65 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N. A 0 feet � meters d) Attached garage (top of slab) N, A 0 feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building � 2. � � feet ❑ meters (Describe type of equipment and location in Comments) fl Lowest adjacent (finished) grade next to building (LAG) 5. 3 �x feet ❑ meters g) Highest adjacent (finished) grade next to building (HAG) 6. 3 � feet ❑ meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 6, 2 �x feet ❑ meters structural support SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or architect authorized by law to certify elevation information. I certify that the information on this Certificate represents my best efforts to interpret the data available. / understand that any false statement may be punishable by fine or imprisonment under 18 U. S. Code, Section 1001. Were latitude and longitude in Section A provided by a licensed land surveyor? 0 Yes ❑ No � Check here if attachments. Certifier's Name License Number ,; k: GEORGE A. SHIMP III 6137 • ` �4; ,^. ,'; ��P ; ; , ,�• Title Job Number � '' � '; - �• '" VICE PRESIDENT 120185-0 R1 ��J �'' � r' < �� Company Name � �� " _� ;�, � GEORGE A. SHIMP II & ASSOCIATES, INC. °� ` "t Q�� ,� t '� � Address , ".r�; ��c„ f��;� �i 3301 DeSOTO BOULEVARD, SUITE D " ��- # fi137 ,Qate '3;:'�04S2p.i7 City State ZIP Code (Not uaNd un(ess`��r�rbo`ssed wjth PALM HARBOR FLORIDA 34683 surveyor's origin�[;�2ised seal) Si ure Date Telephone 3-10-2017 727-784-5496 Copy all pages of this Elevatio Certificate and all attachments for (1) community official, (2) insurance agenUcompany, and (3) building owner. Comments (including type of equipment and location, per C2(e), if applicable) SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 7 PAGES. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 650 BAY ESPLANADE City State ZIP Code Company NAIC Number CLEARWATER FLORIDA 33767 SECTION E— BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is . ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. E3. Attached garage (top of slab) is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? � Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F— PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑ Check here if attachments. rtiwH rorm uun-u-SS (ii�b) Replaces all previous editions. Form Page 3 of 6 . cl CvAT1�1AI �`GRTIFI('_ATF OMB No. 1660-0008 Expiration Date: November 30, 2018 ��..-........ --._... .---•— IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 650 BAY ESPLANADE City State ZIP Code Company NAIC Number CLEARWATER FLORIDA 33767 SECTION G — COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C(or E), and G of this Elevation Certificate. Complete the applicable item(s) and sign below. Check the measurement used in Items G8—G10. In Puerto Rico only, enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 � A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The following information (Items G4—G10) is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6' Comp�ance/Occ�pancy Issued G7. This permit has been issued for: � New Construction � Substantial Improvement G8. Elevation of as-built lowest floor (including basement) � feet ❑ meters Datum of the building: • G9. BFE or (in Zone AO) depth of flooding at the building site: . ❑ feet ❑ meters Datum G10. Community's design flood elevation: . ❑ feet ❑ meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) � Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 650 BAY ESPLANADE City State ZIP Code Company NAIC Number CLEARWATER FLORIDA 33767 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. �. <,— � _ , , _. . � � � �� ' ' � � {�� `��' � `� . � � �� `�' � � � � ;. T � .- .; .=. � - _ � 1 �� t , � ._----�_.� � : � �, � � � y� : _ 1� � ,� ; � �,� , � `�'.°�°°°---- .._ � _ ��. �� : � .. .� _ . __ , : �� --.,...�._.,.�,,� : .. i I', i _ ge �� . _ . n-_ � r s i -� -.b,. �p � � � i � : � � �L, � �� .� ' f � - � HH�� °" S �C� e^'- . �,. ��: .� f 1�£". . _ „ � f: i ... vy� . � � ?� �* /� �,'° 6i� . �"�:-` �`�� d�:�'..��-i'§`..�,, � . � ... � . � � �, i�� ;�;� � $ , . ',�_._�� - _ _ - ��"'_ _ - � � _� . _, -�_ - __ v. : . � �_� - - � , -_ � � - � �:� - � �,, .� _� , � _ � . _ - �_, �.��° :__ :.. _ Photo One Photo One Caption FRONT VIEW 3-10-2017 _ _ �'� ��' ' _ __ � ( � � � �i , * ��. ��'�� . � t�t�� ; ►, � �� . } ,\ �, � R'' ,�: � , j � � `t� a � .� .... � �..._.... � `! � � ��, � .� � k�. . , . -�.�....aa—_'9'�--••_�— � , ....,.--w . . _ �. ;- -.^.+�-..-.e.-r. .s .._ � �� .�:;� , � ,� � � �,'�,r� � ��; ��' u�i : , � � � ; � V�, ... , �� Photo Two � Photo Two Caption REAR VIEW 3-10-2017 FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 5 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE Continuation Page Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 650 BAY ESPLANADE City State ZIP Code Company NAIC Number CLEARWATER FLORIDA 33767 If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. ��sfi_�s g�� Photo One Photo One Caption N/A m'�c�� µ9�vir� Photo Two Photo Two Caption N/A Fnrm Pane 6 of 6 FEMA Form 086-0-33 (7/15) Kepiaces au previous eu�uu��. ELEVATION CERTIFICATE IMPORTANT: In these spaces, copy the Surveyor's Notes Attachment Page 7 information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. 650 BAY ESPLANADE City State ZIP Code CLEARWATER FLORIDA 33767 OMB No. 1660-0008 Expiration Date: November 30, 2018 FOR INSURANCE COMPANY USE Pdicy Number: Company NAIC Number SECTION D— SURVEYOR'S CERTIFICATION (CONTINUED FROM PAGE 2) A1. ) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO GEORGE A. SHIMP II & ASSOCIATES, INC. A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET. A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS DETERMINATION. A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A GARAGE BELOW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING, ETC.) OR IT WILL BE CONSIDERED A FINISHED (HABITABLE) AREA. IF APPLICABLE, THE STRUCTURE CONTAINS: ❑ CRAWLSPACE � ENCLOSURE ❑ ATTACHED GARAGE ❑ N/A IF APPLICABLE, THE CRAWLSPACE CONTAINS N�A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A gQ, FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS 6 ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER 200 SQ. FT. PER OPENING (MANUFACTURER: SMART VENT — MODEL: 1540-510 ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAINS: SEE NOTES BELOW IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK-AWAY WALLS? ❑ YES ❑x NO ❑ N/A A9.) IF APPLICABLE, THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN EXTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR IMMEDIATELY BELOW THE OPENING. 68.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP, FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE. NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE. C2.e) GENERATOR LOCATED ON CONCRETE SLAB. * BOTTOM FLOOR ENCLOSURE CONTAINS PARKING, STAIRWELLS, ELEVATORS, GUEST ENTRY, GYM, ELECTRICAL ROOM & BATHROOMS. * THE OPEN AREA OF THE GROUND FLOOR PARKING ENTRANCES WHICH LIES BELOW THE BASE FLOOD ELEVATION WAS USED IN THE FLOOD VENT CALCULATIONS. Attachment Page 7 of 7 `�.s- °�'°ar"'°�r °F "°"'�c"'"° s�a'R'n' Fl.00DPROOFlNG CERTIFlCATE �rra�. aw�ca�cv Maw�c�Enrr as�cy ��;� F� � � FOR NON-RESIDENTIAI. STRUCTURES OMB No.1660-0008 Expiration Date: July 31, 2015 The floodproofing of non-residentiat buildings may be permftted as an alternative to elevating to or above the Base Flood Elevation; howev�r, a floodproofing design certificaUon is required. Fhis form is to be used for that certifica#ion. Fl�dproofing of a residerrtiai building does not alter a community's floodplain management elevstion requirements or affect the insuranCe raUng unless the community has been issued an exception by FEMA to aliow floodproofed residerrtial basements. The permitting of a floodproofed residential basement requires a separate certification speaiying that the design compties with the locat ftoodptain managemeat ordinance. BUtLDING STREET pDDRESS p�i� Apt, Unit, S�Me, a�/� �dg. Number) OR P.O. ROUiE AND 80X NU618ER ��. OiHER DESCRIPTION (!a a�b B�tc Nw�ers, et�) F8R �1511MN�EE COMPANY USE POUCYNUhiBER COMPANY NA� NUMBER qTY %� A-�,�- _ _ l._._ �-.�Z ,%��/�.% /� vY:--� S�L. �� / SECTION 1— FLOOD INSURANCE RATE MAP (RRM) INFORMATION Wmide the foqowing from the proper FlRM: CQIIpItU6fYMUMBER PANQ NUkBER SUfFpf DATE Qf FlRN INaEJ( FlRM ZONE BASE ROOD FL'YATION ��.soa � zio � � oz � o� � � � �a.i � �� Mtlicete elevauort daWm usetl for ease Flood Elevatla� shown abov� � NGYD 1929 � NAVD 1988 ❑ Other/5ourc� SECTION il — ROODPROQRI� INI�ORMATIGN (B�r a Reglste►ed Fr�onat E� w Architect) Elevatiwis are based an: ❑ Caastrudion Drawinga ❑ Buiding Under Cmstrudion �fierished Con�uction Floodptoofing Design ElevaUon inforrt�aUOn_ Buitd�g is ftoodProofed m an devatlan of _L6_ .� 2 Teet fin Puerto tGco oMy: _._ meters?. ❑ N�U01929 �NAVD 1988 ❑ Qtherj5uurce: (Elevation datum used must be tlie same as that used for the Base Fiood Elevation.) Height of floodproofing on the building aUove the lowest adjaeent grade is! �.Z,..�— fe� (M Puerto Rico oidy: meters� For Unnumbered A 2ones Ordy: Highes[ adJacent (finished) grade aext ta U+e 6uading (HAG) . ❑ NGYD 19Z9 ❑ NAVd 1988 ❑ Oth�/Source: feet {in Puerto R+co ordy: . meters) (N07E Fw insurance ratlng �►po�s, the buiidin�'s Aoodprooted desi� e.i�ration must be at leas[ i foot above the Base Fiood Eienatiai to recerve rating credit flU is ftoodproofed oniy to the Base Flood Elevation, then ihe bw7d'nrg's i�urance rating wiU resuf[ in a higher premium.) SECTION tll — CER'TIFICATtON (By a Reg9stered Proiesslonal Engineer or Ard�tect) Non-ResideMial Floadproofed Ca�structlon Cerdfkatforr. -- 1 certify that based upon devetopment and/or review ofstructurat design, spec±ficatiaes, and Alans forconstniction, the design and methods of construction RSt are in accordaece with accepted star�rds of praclice tor meeting the fot(owing provisio�: The stntcture, together with attendant udiities and sanitary facilities, is watertigM to the floodproofed design eleaatioa indicated above, with r�ils that are subst8ntially impermeabie to Ne passage at xrater. N �'1 � D �7 c� �1 o � c � �Z -� Z � � C � m � D v � � N Cn � D � n N O � v� � O � � � �O D � c.i W D � rn � � r � Z � v rn AU structwal companenLS are ppable of ►esi�ing hydrostatic and hydrodynamic flood fwces, including the effects of 6uayancy, and antiapated �� det�is impact forces. ! certify that ihe infortnadon on Uws Certibcate represertts rtry best effats [o in[erpr�et the data avaAab►e. l understand that a� false statement may 6e punishab�. by fine or imprisonment under 2B U.S. Code, Section 200L CEHTIFlERB NANE lICENSE NUMBEA (a Affnt S�) -� ��a.,t C�►z.� Fc.— PE' l� 313 m�e caMrewvenra� �J'Lti�CO(�.0 7— � �!J��-% e f.�-l�-�rl( �DIUrUL?7�1Lc:- AUDRESS qTY STATE ZIP CODE �� o - � 4�,�,�� . rv sr.��-�� 3 ��z. ,1�IT -�Z� - ��.� - 4�� 1 SIGNATURE � bATE PHpNE ii�v"�'w\—� Copies should 6e made of this Certificate for. 1) community official, 2) tnsurance ageM/company, and 3) building owner. FEL1A Form 086-0-34 (7/22) HEPLACES ALl PAEYIOUS EDRIONS f-056 , , _ , _ _-- .� :, c. �. ,� ' �C:::_� r , ,,t i �. _ f° � � �+�" ln w.. � G� � � ��P� T� ',�� f z' !k: , t� : �r,�{` '`t �'� . , �� a � S _ . f�. .: k `ix� t� , �4, 'a%�r. 7 � . f.`z- , . !� _ i • �-.. , e .. � , . , a � /` , . � , Fr. �� r .�a_ .�_- : �� r fi . s � = ti � !tf h i . .-, � . .. i_.. _ . . e = I '� v� I y� � t:.. . _ 4 ' _ i.. Ff : ... � . . . i ,,.. s r^' i ld.,.,.r p g �.. .....>.. � �-� � . �..,--r �� , . �, n ?4t�`� � . .:� r ' f"J E.;:.�_ �.� , .- R� � � d- . -. r ,�>`7r� f ? x�� . • `' .� .. ..... --^-'•--•-�-.--�_,.�_ ____ . _.._ �_.' . . .._. .,.. �; ,:. - --....`. � � �*t.;„, �' R ��;;? _.. qr � �: ��rtl()L_ 5' <v � K7 �� r _ .� _ _..�_�. . ` � , _ . � � _� _. • l �,,. _, � �,...-#� �° '"� • %^ .� ,�� ., +� '� � � '�' k �� , ' l ' ` �' � J N � .� ,:� � � +' r`> a„'� ( 1� t i f.!; I n i�. ....!=s `� 4: r `ti q� '' , . � �{ . . .Cwlh < . i� r �.'r � / k t�-i A..4+� i`��. � ( ."' .� ..n 1 � �J »W r.. � � S s • �„ t . , :E� d� � � , .N .�t,�„ �=, �} +.�.3 `° ��, � iN � + �-, � � � ,4,� ., Rf �+ = _�� p�i� - �, + L j rt�Y � � � .A.. � i ,,, , ';, A =ah< �. ; � ;. .- , � ,.,qq , 7 . •-- \ ' , ` ' �.. - � `� 'x ('' ��. -, r�._.. ` . . "^'�---e.-,:..-.;,..-,..�..o. -„ <. . ...,..._... �r,..._,.: - .... . , ..... . - , .._... _ _ . `e J ^ A .. n . . . . . . . .. . .. - - __.. ... . #. . , . ��t, _ �� t`�L. #it f V/'��fw'+nJ (,{�C...' �) �, • , - ' fE. � �.� �� ;.�.......'� x `,4} � � , `.:�. �.: �. _. , � + '�-rm'�t,�l* �a /,.'r . � � a .,., � , � „� .� i�, t � ; .-, • _... � `",�' ' < . w f" � � �I s.d � � . ? a � P ' 1 "_ ' i.� .._ . .... � .r"� � 4 l .. .J r a,�� ;' • . w�a° .=* i.,� �;. � . . E_..: - ; � „ _ , ,, r 1, � _ r . a!� � � m_ 5.:� �, + �,''f `� ? ,r, ` _ " �_ ___u. -� -,- .-- - _ � _.. _ _ ... _r � _� - - `�� }r. � "! e �� ' . . _. � . � � ,- � � . ..., .. a - p � '._:. �• _ �� zA,,. , �„ i a 1• �t�?�7'l 7 .M� 'j"i? 2-'l�h,d(,;2 !!� �e�G+174',4.��t,�..�•y!� zt:} " y�,� S,e_.".��. .� � � .��' � / � i ♦ / j �� _._ - _.�.s ... �., . ( � � , _ � _ _. _ /� ;! � k f �„ Y ��`� � .... ,� "t^� tee �� '� .. 1 `�r . s'y'..- __ .. _. �.--. . 3 ��'� =f'- <'.,7�` _ j�.� �;la w .•C � �.. �; k , ...;..4` � !r . a�o •:c.-.. �>'� Y. . � . �� .�.. -1 �, y �tv"4'.. .� _. ; t , � �"' ' t:. ' .1 .. ' � t%t`-� r t e} h;. .2, "' �,: 1�� -, , r , . J , .. •' r G.-f. /� �f�..;.": S�i �,�ain.l �' � � �. . .: r,�� .�� .... . .. � . . . , � /-� �/ `� " �._ — -_ - ..� _ . ; - _� _ ,_,, _ H T.- �. _ , f � _. �. __ _.. w ... � � �.+G� 1, " - r� _. 3 � <:, f � ._ . _ _.____._ � . �... , . _ ,�-- ��' ,� __ _ ...,_ f f�-.-�. , , !,' , a!' _ ._ ___ � .�; �,:'�:.�1;.,nlSi: ; �4' �° ' • ' � . ' � �' V-�.�. 7 y � � .` f.. . }1 . , ,. .. . . , . _. �. � . .. 1 ��"? �i � ...... li, . . , . , t . _*'1 i..Y i°Y `w� y`� V 1 �•.�� r „ ,,,?.� ` .' ...t . , y • "� i u' y � ` i � 1 � „ � � .�� .z � , , r, . . . � �. � t 7H r `i 1 «� � :.s L- � w.� . . . � y :. ` t>.j . ...:: . . �. � -- -.�..... ._. . ,. .r _ . <.R,•�:.-.... �.....ti .. ..�._ .. _ ... .._..,./..._ ..._ . __"'.. _..._ . ,... .,. ,41 � P,I %% � I.. � � ,,. � - �O �-a +i� _ . . ,_ . . __ __. __-.. .. .. . ». .. . . .. . t�.. r�.�;�, �.. .� �;,�--- _ _ . �"{,-= '^,', x r4...�..._x} .�Ct/,, s'"�' ;�,�,�cj� '�f ,Ci� —:x� ` .. . . �,r � ��.� �, y .� — �af��---r"�-...,... ,6�..+ . .�..--.u.......,. _ _� : . � ... �..t' : ...� �. �C/ 1'' �� `? t �'�.�.+.y .. .-'�. . �' ��.�-° ; �� , . .. r"�...-,—..,�.._,� . ....._—_•!--..... .. ; .4._„ . �;z.�r' X = Z. , � -�1.�./� �-r..� c�� - ,»/,JA 'tA �.,' ,�, r�1E . i+ a ,�9 , ,. �'E° .�� .✓` ° ! +G.�.'.? J i � �,' "'�� ?.`:s �/.Sa' � / _ i�' t . .. T� _:i ._.. , , � � _ �, � � � �� _.._ _ . � ,., . : . . .., . , . - , , . , . .. ,, w�, � _ , _ ,., � , _ . . . �, � _: :; - . , _..__ _. _ �_ ,. : � --� �,� g --�--- � ! 7 f�� ---� ,► � � . s , . T.. . _ -. . ._: _ � � � � • ,. , . — --- - . _ �, .., � __ � _. . , ,., _ _ . .., . , , �. . . � , , �-.--...--....._.�, _ -r _ . .-.w,.�_._ _� . �..... J � � , ..� e ,..�i. C � r ,. �f � � i.� �% e � w1 �j �° �� . -- �.'.,�—.�...�.. � a _�._._.. ,� z_ _..__.. .— - . ,u.: � � ��, � l�� 7 ��_ _: � , �.eube Clarson �� CONSUtTING ,..- ; { . ._ . _ . FLOOD PANELS FAIRFIELD INN CLEARWATER BEAC LIBERTY WELDING KtUBEN CLARSON CONSULTING 750-94TH AVE. N., #213 PE #16313 ST.PETERSBURG, FL. 33702 7/5/16 727-895-4717 SHEET ; OF �:.,�. �i ..: 4, , t� � , � ;�.� .. . �,,�,, �'-. �' ,.�t �t h �Y �• � , o-.,� c �.� , � r � 4 ^fr i.a? }, y.... .f^` C i �....�.. e...__. ...... w�'" -°d+ r .� ., r"v 1''Z � �� ' '� � � � f ._,� �_ } � �.� , .. .. ... . ° t � - � � .� R , � � S .F i�'" � r � �.: �. � . . .1 ,, �- �, .� , . � t , t . �,' t .�� . �, - . . � a , ,` � .t a A' .,�- � � � � ,r / s� � � � � u, �. , �: � � „9 � .. �a. , �..�. ' , r_z � ' � � � � �� ....� �. � #�__> �^ z.f � f;� ° � � �. _ � .e � � � � � ��.-. �Jc�.F-�,,�� ., � -7 .� 0 Q � _ _ � _ , � ,,� - ._.__ _....,_ — � .. 1 �? ° Lt ��..� " . � '`C�r" ��'w� ,� ' Z-� � _. � _ _ �` i`��- � , � t", „ _ � ,.� p ; : � � . � ° , t.� ,�� "�) �� ..�_ 1 t'a� ,�-�s �< 4��. "�-A. r, -� �:.� ;z t �� w � F � c'�,. *""��, � ,� � c� �� n.? � f �J ''-> C) �, � _ ,,. . e ..3 t,.., r� `m,,a _� _ _ _ _ __ __ _ _ __ _ _ _ _ _ _ _- _ _ y ,. t � �� , ,�;� . . FL(JOD RANELS FAIRFIELD INN CLEARWATER BEACH, FL. LIBERTY WELDING ReubeREUBEN CLARSON CONSULTWG � ,: .,aV�a�s�n. 750-94TH AVE. N., #213 PE #96313 '� �3�QNS(,��T��G ST.PETERSBURG, FL. 33702 7/5116 727-895-�717 SHEET <'. OF � ..�/�- DIVISION: 08 00 00—OPENiNGS SECTION: 08 95 43—VENTS/FOUNDATION FLOOD VENTS .�; � �� REPORT HOLDER: � ��6• d � SMARTVENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 EVAIUATION SUBJECT: SMART VENT� AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 ICC ICC ICC 1�� 1�� PN1� L/STED Look for the trusted marks of Conformity! "2014 Recipient of Prestigious Western States Seismic Policy Council (WSSPCJ Awa�d in Excellence" � 1� �'� if� A Subsidiary of ��=�yo� �t� ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not '��' �°iY° specifically addressed, nor are they to be construed as an e�adorsemerzt of the subject oj the report or a� recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as � to any finding or other matter in this report, or as to any roduct covered bv the re ort. �� r . r ,.,, „�.�,. «� . Copyright ° 2017 ICC Evaluation Service, LLC. All rights reserved. �vL-c� cva�uation Keport ESR-2074 Reissued February 2017 This report is subject to renewal February 2019. www.icc-�s.orq �(800) 423-6587 �(562) 699-0543 A Subsidiaryofthe InternationalCode Council° DIyISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARNENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 w•�vw.smart��en!.com info a.smart�ert.com EVALUATION SUBJECT: SMART VENT� AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 1.0 EVALUATION SCOPE Compiiance with the following codes: ■ 2015, 2012, 2009 and 2006 International Building Code (IBC) ■ 2015, 2012, 2009 and 2006 /nternational Residential Code� (IRC) ■ 2013 Abu Dhabi International Building Code (ADIBC)t rThe ADIBC is based on the 2009 IBC. 2009 IBC code sections referenced in this report are the same sections in the ADIBC. Properties evaluated: ■ Physical operation ■ Water flow 2.0 USES The Smart Vent� units are operated flood vents (FVs hydrostatic pressure on walls rising or falling flood waters. natural ventilation. 3.0 DESCRIPTION 3.1 General: engineered mechanically ) employed to equalize of enclosures subject to Certain models also allow When subjected to rising water, the Smart Vent� FVs internal floats are activated, then pivot open to allow flow in either direction to equalize water level and hydrostatic pressure from one side of the foundation to the other. The FV pivoting door is normally held in the closed position by a buoyant release device. When subjected to rising water, the buoyant release device causes the unit to unlatch, allowing the door to rotate out of the way and allow flow. The water level stabilizes, equalizing the lateral forces. Each unit is fabricated from stainless steel. Smart Vent� Automatic Foundation Flood Vents are available in various models and sizes as described in Table 1. The SmartVENT° Stacking Model #1540-511 and FloodVENT° Stacking Model #1540-521 units each contain two vertically arranged openings per unit. 3.2 Engineered Opening: . The FVs comply with the design principle noted in Section 2.7.2.2 and Section 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and IRC)] for a maximum rate of rise and fall of 5.0 feet per hour (0.423 mm/s). In order to comply with the eng�neered opening requirement of ASCE/SEI 24, Smart Vent FVs must be installed in accordance with Section 4.0. 3.3 Ventilation: The SmartVENT° Model #1540-510 and SmartVENT° Overhead Door Model #1540-514 both have screen covers with '/a-inch-by-'/a-inch (6.35 by 6.35 mm) openings, yielding 51 square inches (32 903 mm2) of net free area to supply natural ventilation. The SmartVENT° Stacking Model #1540-511 consists of two Model #1540-510 units in one assembly, and provides 102 square inches (65 806 mmZ) of net free area to supply natural ventilation. Other FVs recognized in this report do not offer natural ventilation. 4.0 DESIGN AND INSTALLATION SmartVENT�' and FloodVENT° are designed to be installed into walls or overhead doors of existing or new construction from the exterior side. Installation of the vents must be in accordance with the manufacturer's instructions, the applicable code and this report. Installation clips allow mounting in masonry and concrete walls of any thickness. In order to comply with the engineered opening design principle noted in Section 2.7.2.2 and 2.7.3 of ASCE/SEI 24-14 [Section 2.6.2.2 of ASCE/SEI 24-05 (2012, 2009, 2006 IBC and IRC)j, the Smart Vent� FVs must be installed as follows: ■ With a minimum of two openings on different sides of each enclosed area. ■ With a minimum of one FV for every 200 square feet (18.6 mZ) of enclosed area, except that the SmartVENT'� Stacking Model #1540-511 and FloodVENT�" Stacking Model #1540-521 must be installed with a minimum of one FV for every 400 square feet (37.2 m2) of enclosed area. ■ Below the base flood elevation. /CGES Evnluntion Repor�s ru�e not to he cansn�ued us representi�ig nestl:etics or �rn}� othei� uth-ihutes not speciJica![v adJressed, nor nre lhet� to be construed �� ns mr endmsement ojthe suhject of�the report or u recomme��dotrnn for its use. There is no warraitN hv !CC Eva[uation Service, LLC, expres.r or implred, as to mry /indueg or other mutter in this report, or ns [o mry product covered hi� the i•eport. . iiYii�ee�. � . . Copyright OO 2017 ICC Evaluation Service, LLC. All rights reserved. Page 1 of 3 tJK-LU/4 � Most Widely Accepted and Trusted Page 2 of 3 ■ With the bottom of the FV located a maximum of 12 inches (305.4 mm) above the higher of the final grade or floor and finished exterior grade immediately under each opening. 5.0 CONDITIONS OF USE The Smart Vent° FVs described in this report comply with, or are suitable alternatives to what is specified in, those codes listed in Section 1.0 of this report, subject to the following conditions: 5.1 The Smart Vent� FVs must be installed in accordance with this report, the applicable code and the manufacturer's installation instructions. In the event of a conflict, the instructions in this report govern. 5.2 The Smart Vent� FVs must not be used in the place of "breakaway walis" in coastal high hazard areas, but are permitted for use in conjunction with breakaway walls in other areas. 6.0 EVIDENCE SUBMITTED Data in accordance with the ICC-ES Acceptance Criteria for Mechanically Operated Flood Vents (AC364), dated August 2015. 7.0 IDENTIFICATION The Smart VENT° models recognized in this report must be identified by a label bearing the manufacturer's name (Smartvent Products, Inc.), the model number, and the evaluation report number (ESR-2074). TABLE 1—MODEL SIZES r�� r i mcn = co.w mm; i square root = m` tarc-zui4 � Most Widely Accepted and Trusted Page 3 of 3 FIGURE 1—SMART VENT: MODEL 1540-510 �� 4 ¢ i i- i � } � i � �I�Ilii4'iYllii�fY�4ii �,,a, \ � �� S =<� � �� , � �.,� �� FIGURE 2�MART VENT MODEL 1540-520 �' � �- �_� FIGURE 3—SMART VENT: SHOWN WITH FLOOD DOOR PIVOTED OPEN r�.V-ca cva�uat�on Report ESR-2074 CBC an�i CRC Supptement /ssued January 2017 This report is subject to renewal February 2019. www.icc-es.orq �(800) 423-6587 �(562) 699-0543 A Subsidiary of the lnternational Code Council° DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARNENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 www.smartvent.com info e sma�tvent.com EVALUATION SUBJECT: SMART VENT� AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Smart Vent� Automatic Foundation Flood Vents, recognized in ICC-ES master evaluation report ESR-2074, have also been evaluated for compliance with codes noted below. Applicable code edition: ■ 2016 California Building Code (CBC) ■ 2016 California Residentia/ Code (CRC) 2.0 CONCLUSIONS 2.1 CBC: The Smart Vent� Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR-2074, comply with 2016 CBC Chapter 12, provided the design and installation are in accordance with the 2015 Internationa/ Bui/ding Code� (IBC) provisions noted in the master report and the additional requirements of CBC Chapters 12, 16 and 16A, as applicable. The products recognized in this supplement have not been evaluated under CBC Chapter 7A for use in the exterior design and construction of new buildings located in any Fire Hazard Severity Zone within State Responsibility Areas or any Wiidland-Urban Interface Fire Area. 2.2 CRC: The Smart Vent� Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR-2074, comp� with the 2016 CRC, provided the design and installation are in accordance with the 2015 /nternational Residential Code (IRC) provisions noted in the master report. The products recognized in this supplement have not been evaluated under 2016 CRC Chapter R337, for use in the exterior design and construction of new buildings located in any Fire Hazard Severity Zone within State Responsibility Areas or any Wildland-Urban Intertace Fire Area. The products recognized in this supplement have not been evaluated for compliance with the International Wildland–Urban Interface Code . This supplement expires concurrently with the master report, reissued February 2017. /CGES EvaA�ation Repm-ts are i:ot m be canstrued as represe�rting nesUietic,r or an�� other uth�ibutes r:ot .rpeci/ira![v udctressed, nor nre they� to be con.rL�ued �r�,� ns ai� endorsement of the subject o(the re ort oi� u i•ecommendatim� or its use. There is no warra��tv �v � � v / /CC Eonluntran Seivice, LLC, expre.rs or implied, ns � !o m�v./irrdDrg or other matter in lhis repm�t. or� as to mty produc! covered fiy� tke report. cau�m�::'�. . . Copyright �O 2017 ICC Evaluation Service, LLC. All rights reserved. Page 1 of 1 .--�-�L L-��,ua��ri rteport ESR-2{}74 FBC Supplemen# Reissued February 2017 This report is subject to renewal February 2019. www.ic�-es,orq �(g00) 423-6587 �(562) 699-0543 A Subsidiary of the International Code Council� DIVISION: 08 00 00—OPENINGS Section: 08 95 43—Vents/Foundation Flood Vents REPORT HOLDER: SMARNENT PRODUCTS, INC. 430 ANDBRO DRIVE, UNIT 1 PITMAN, NEW JERSEY 08071 (877) 441-8368 ww�,v.smartv3n±.com info �,smartvent com EVALUATION SUBJECT: SMART VENT� AUTOMATIC FOUNDATION FLOOD VENTS: MODELS #1540-520; #1540-521; #1540-510; #1540-511; #1540-570; #1540-574; #1540-524; #1540-514 1.0 REPORT PURPOSE AND SCOPE Purpose: The purpose of this evaluation report supplement is to indicate that Smart Vent° Automatic Foundation Flood Vents, recognized in ICC-ES master report ESR-2074, have also been evaluated for compliance with the codes noted below. Applicable code editions: ■ 2014 Florida Building Code—Building (FBC) ■ 2014 Florida Building Code—Residential (FRC) 2.0 CONCLUSIONS The Smart Vent� Automatic Foundation Flood Vents, described in Sections 2.0 through 7.0 of the master evaluation report ESR-2074, comply with the FBC and the FRC, provided the design and installation are in accordance with the International Building Code� provisions noted in the master report. Use of the Smart Vent� Automatic Foundation Flood Vents has also been found to be in compliance with the High-Velocity Hurricane Zone provisions of the FBC and the FRC. For products falling under Florida Rule 9N-3, verification that the report holder's quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by the Commission). This supplement expires concurrently with the master report, reissued February 2017. (CC-ES Evuh�atron Repoi�ts are i�ot to he consu�ued us represei�tueg nesdietics or ony� other uttributes not specifica(!r addres.red, itor nre they m be consn�ued /'"--� as �r�t endoisement of the subject o/'tke re�oi-t or a reconunendatrnn f'or its u.re. There is rto �rarr�riety br /CC Evaluation Service, LLC, e.�press or imp(ied, ns ::^� �� to airy� Jindiitg or other mtitter in this repr�rt, ni� ns tn niry product covered hp the r�eport. _�� i••� ..� Copyright OO 2017 ICC Evaluation Service, LLC. All rights reserved. �N Page 1 of 1 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30, 2018 National Flood Insurance Program ELEVATION CERTIFICATE Important: Foltow the instructions on pages 1-9. Copy all pages of this Etevation Certificate and all attachments for (1) community official, (2) insurance agenUcompanv, and (3) buildina owner. SECTION A— PROPERTY INFORMATION FOR INSURANCE COMPANY USE A1. Building Owner's Name Policy Number. BAY ESPLANADE PROJECT, LLC � Box No Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Company NAIC Number: 650 BAY ESPLANADE C�tY State ZIP Code CLEARWATER FLORIDA 33767 A3. Property Description (Lot and Blodc Numbers, Tax Parcel Number, Legal Description, etc.) LOTS 1, 2, 11, 12 & 13, BLOCK 82, MANDALAY - PARGELS 05-29-15-54756-082-0010 (0020, 0110, 0120 & 0130) A4. Building Use (e.g., Residential, Non-Residential, Addition, Accessory, etc.) RESIDENTIAL A5. Latitude/Longitude: Lat. 27.9880° N. �ong. 82.8251° W. Horizontal Datum: ❑ NAD 1927 Ox NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 6 A8. For a building with a crawlspace or endosure(s): a) Square footage of crawlspace or enclosure(s) N/A �i � b) Number of permanent flood openings in the crawlspace or enclosure(s) within 1.0 foot above adjacent grade (�/A c) Total net area of flood openings in A8.b WA sq in d) Engineered flood openings? ❑ Yes 0 No A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft b) Number of pertnanent flood openings in the attached garage within 1.0 foot above adjacent grade N/A c) Total net area of flood openings in A9.b N/q sq in d),��ngirtee�ed-"�o�d openings? ❑ Yes �x No ,. ��:,t)"' ' " (3 .-= �• �� SECTION B— FLOOD INSURANCE RATE MAP (FIRM) INFORMATION - 61.�NFIP Community Name & Community Number 62. County Name B3. State CITY OF'CLEARWATER- - 125096 PINELLAS COUNTY FLORIDA 64. Map/Pane� •� 65. Suffix B6. FIRM Index B7. FIRM Panel B8. Flood Zone(s) 69. Base Flood Elevation(s) NumbeY �- � Date Effective/ (Zone AO, use Base Revised Date Flood Depth) 12103C0102 G 8-18-09 9-3-03 AE 11' B10. Indicate the source of the Base Flood Elevation (BFE) data or base flood depth entered in Item 69: _ ❑ FIS Profile ❑x FIRM ❑ Community Determined � OtheNSource: 611. Indiqte elevation datum used for BFE in Item B9: ❑ NGVD 1929 x❑ NAVD 1988 ❑ OthedSource: 612. Is the building loqted in a Coastal Barrier Resources System (CBRS) area or Othervvise Protected Area (OPA)4 � Yes �x No Designation Date: N/A ❑ CBRS ❑ OPA FEMA Form 086-0-33 (7/15) Replaces alf previous editions. Form Page 1 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration �ate: November 30, 2018 IMPORTANT: in these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number. 650 BAY ESPIANADE ��, State ZIP Code Company NAIC Number CLEARWATER FLORIDA 33767 SECTION C— BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construc6on Drawings" ❑x Building Under Construc6on` ❑ Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations — Zones A1—A30, AE, AH, A(with BFE), VE, V1 V30, V(with BFE), AR, AR/A, AR/AE, AR/A1—A30, AR/AH, AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only, errter meters. Benchmark Utilized: CLEARWATER BM "1-03" Vertica! Datum: N.A.V.D. 1988 Indicate elevation datum used for the elevations in items a) through h) below. ❑ NGVD 1929 � NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used fo� the BFE. Check the measuremerrt used. a) Top of bottom floor (including basement, crawlspace, or enclosure floor) N. A �x feet ❑ meters b) Top of the next higher floor 21 , 65 (]x feet ❑ meters c) Bottom of the lowest horizontal structural member (V Zones only) N. A �x feet ❑ meters d) Attad�ed garage (top of slab) N, A Ox feet � meters e) Lowest eleva6on of machinery or equipment serviang the building N- A �x feet ❑ mete+s (Describe type of equipment and location in Comments) � Lowest adjacerrt (finished) grade next to building (LAG) 5, 0 Ox feet ❑ meters g) Highest adjacerrt (finished) grade next to building (HAG) 6• 2 Q feet ❑ meters h) L�vest adjacent grade at lowest elevation of dedc or stairs, including N. A �x feet ❑ meters structural support SECTION D— SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor, engineer, or arctirtect authorized by law to cerbfy elevation infortnation. 1 cefify that the information on this Certificate nepreser►ts my best effo�ts to interpret ifie data available. I understand that any fa/se sfateme�rt may be punishable by frne or imprisonment under 98 U. S. Code, Secbon 1001. Were latitude and bng'dude in Section A provided by a licensed land surveyor`? � Yes ❑ No � Chedc here if attachments. Certifiers Name Lioense Number GEORGE A SHIMP III s�3� .• G� �. gy� �•. Title Job Number �,�g� j,jV�;�A � VICE PRESIDENT 120185-1 �� BF : y Company Name '" N�a t p:� GEORGE A SHIMP II & ASSOCIATES, INC. 3��"� 1 1'' `;� � titAlF'� ' A330�DeSOTO BOULEVARD, SUITE D � t' �' r t��ut'ar� :�_ Q�� # 613��te"----�Y''��s ��y State ZIP Code (Not valifi�un��° ossed with PALM HARBOR FLORIDA �83 surveyors origi ''�raised seal) gi � Date Telephone � ' &19-2016 727-784-5496 Copy all pages of this Eleva n Certificate and all attachments for (1) commun'ity offiaal, (2) insurance agent/comparn, and (3) building owner. Comments (inGuding type of equipment and location, per C2(e), if applicable) SEE ATTACHMENT PAGE 7 OF 7 FOR SURVEYOR'S NOTES AND COMMENTS. THIS DOCUMENT IS NOT VALID UNLESS SIGNED AND EMBOSSED WITH THE SURVEYOR'S ORIGINAL RAISED SEAL AND MUST CONTAIN ALL 7 PAGES. FEMA Fortn 086-0-33 (7/15) Replaces all previous editions. Form Page 2 of 6 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 650 BAY ESPLANADE City State ZIP Code Company NAIC Number CLEARWATER FLORIDA 33767 SECTION E— BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4, use natural grade, if available. Check the measurement used. In Puerto Rico only, enter meters. E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. b) Top of bottom floor (including basement, crawlspace, or enclosure) is . ❑ feet ❑ meters ❑ above or ❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is . ❑ feet ❑ meters ❑ above or ❑ betow the HAG. E3. Attached garage (top of slab) is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is . ❑ feet ❑ meters ❑ above or ❑ below the HAG. E5. Zone AO only: If no flood depth number is available, is the top of the bottom floor elevated in acxordance with the community's floodplain management ordinance? � Yes � No � Unknown. The bcal official must certify this information in Section G. SECTION F— PR�PERTY OWNER (OR OWNER'S REPRESENTATNE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State 21P Code Signature Date Telephone Comments. ' ❑ Check here if attachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 3 of 6 OMB No. 1660-0008 ELEVATION CERTIFICATE Expiration �ate: tvovember 30, 20�$ IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number. 650 BAY ESPLANADE City State ZIP Code Company NAIC Number CLEARWATER FLORIDA 33767 SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local offiaal who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C(or E), and G of this Elevation Certifiqte. Complete the applicabte item(s) and sign below. Chedc the measurement used in Items G8-G10. In Puerto Rico only, enter meters. G�. ❑ The infoRnation in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to cer6fy elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2 ❑ A community offiaal completed Section E for a building located i� Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The following infioRnation (Items G4-G10) is p�ovided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for. ❑ New Construction � Substantial Improvement G8. Elevation of as-built lowest floor (induding basement) of the building: _ ❑ feet ❑ meters Datum G9. BFE or (in Zone AO) deptt� of flooding at the building site: _ ❑ feet ❑ meters Datum G10. Community's design flood elevation: . ❑�t ❑ m�� Datum Local Offiaal's Name Ti�e Community Name Telephone Signature Date Comments (including type of equipment and location, per C2(e), if applicable) ❑ Check here if atfachments. FEMA Form 086-0-33 (7/15) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30, 2018 IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address (including Apt., Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 650 BAY ESPLANADE ��ry State ZIP Code Company NAIC Number CLEARWATER FLORIDA 33767 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front Vew" and "Rear View"; and, if required, "Right Side View" and "Left Side Vew." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. ,-- ;i � Photo One Photo One Caption FRONT VIEW 8-19-2016 �i��un Y �. _ _ :. � � � - .,:. - � ��+;*�� ` ' . L _. ��r - w �--��-- - --- -- ,�.�� '!�� :_ -- - _�,.,� .� � � �� ;f. _ � - - �,�. _ 3 _, . � ` ::; ;., _ ,.. u, rca I��__._, ■ G � % � `-.-. — _ , , �a �,��a x , . � _- �S � _ r'V:v _ C uA (� '��N� R '�� -.�_ _` � __ ,' � ..: �..:} . ,, ,_. . _ .. �, t1�.. .. _ � -� ,r -��,. , i �� ,�.� ��F �� - - ' �� ' ,� z;� ��-� ` � ---- _ rt. ,r �_. !� � ,�� - -_ ' _> ,..� ., a - ` r.�:�� 7B��t�I�i�S�� - �:'�--._ ._. _, rur> ,�°��-�� -�E��Re��a��nsa�c�. � �� - - A, . . . . � - � � �� . ' -_�� , � � R ' — : --- �!�ll�—T ` .... � . . ,^�*.. �' �._ ... .:.�- , .� - . ... -- ,. . �- - ' u.. .� , _,__ . , _ �_,,_�.,�: _, - �� ' ��`��'a� # � : - °� _ �y � _ L:r��, _; . � ,_..- � . .� . _ .....n. .. ,..-.._ � _ :� � _ ,� n k-«.s,:, Photo Two � � Photo Two Caption REqR VIEW 8-19-2016 FFMA Fnrm nRR_lL�� '�i�� N�a�o an N�CV�uus eainons. Fom1 Page 5 of6 BUILDING PHOTOGRAPHS OMB No. 1660-0008 ELEVATiON CERTiFICATE Continuation Pac�e Expiration Date: November ��01R IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Buiiding Street Address (induding Apt_, Unit, Suite, and/or Bldg. No.) or P.O. Route and Box No. Policy Number: 650 BAY ESPLANADE C�tY State ZIP Code Company NAIC Number CLEARWATER FLORIDA 33767 !f submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front Vew" and "Rear vew"; and, if required, "Right Side Vew" and "Left Side Vew." When applipble, photographs must show the foundation with repnesentative examples of the flood openings or vents, as indicated in Section A8. Photo One Pt�o o�e Photo One CapUon N/A Photo Two Photo Twa Photo Two Caption N/A FEMA Form 086-0-33 (7/15) Replaces aIl previous editions. Form Page 6 of 6 ELEVATION CERTIFICATE IMPORTANT: in these spaces, copy the Surveyor's Notes Attachment Page 7 information from Section A Building Street Address (including Apt., Unit, Suite, and/or Bidg. No.) or P.O. Route and Box No. 650 BAY ESPLANADE City State ZIP Code CLEARWATER FLORIDA 33767 OMB No. 1660-0008 Expiration Date: November 30, 2018 FOR INSURANCE COMPANY USE Pdicy Number: Company NAIC Number SECTION D— SURVEYOR'S CERTIFICAl10N (CONTINUED FROM PAGE 2) A1. ) THIS ELEVATION CERTIFICATE WAS PREPARED EXCLUSIVELY FOR THE USE AND BENEFIT OF THE PARTY SPECIFIED IN SECTION A, ITEM 1, FOR THE SPECIFIC PURPOSE OF OBTAINING FLOOD INSURANCE AND/OR VERIFYING FLOOD ZONE COMPLIANCE WITH THE LOCAL GOVERNING AUTHORITY. THIS DOCUMENT SHALL NOT BE VALID AND BINDING AGAINST THE SIGNING SURVEYOR WITHOUT THE ORIGINAL RAISED SEAL AND SIGNATURE OF THE FLORIDA LICENSED SURVEYOR AND MAPPER. USE OF THIS DOCUMENT BY ANY OTHER PARTY OR FOR ANY OTHER PURPOSES IS STRICTLY PROHIBITED AND SHALL RENDER THIS DOCUMENT INVALID FOR THOSE PURPOSES. UNAUTHORIZED COPIES ARE STRICTLY PROHIBITED AND SHALL NOT BE VALID. REQUESTS FOR ANY ADDITIONAL OFFICIAL SIGNED AND SEALED COPIES MUST BE DIRECTED TO GEORGE A SHIMP II � ASSOCIATES, INC. A4.) THE BUILDING USE WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. A5.) THE LATITUDE AND LONGITUDE COORDINATES WERE OBTAINED USING A HAND HELD G.P.S. UNIT WHICH MEETS OR EXCEEDS FEMA'S REQUIRED ACCURACY OF 66 FEET. A7.) THE BUILDING DIAGRAM NUMBER WAS DETERMINED BY PHYSICAL OBSERVATIONS MADE ON THE DATE OF SURVEY. CERTAIN STRUCTURAL FEATURES NOT VISIBLE TO THE SURVEYOR (PILINGS, GRADE BEAMS, ETC.) OR USE OF ANY AREAS BELOW THE BASE FLOOD ELEVATION THAT DOES NOT COMPLY WITH FEMA REGULATIONS CAN AFFECT THIS DETERMINATION. A8.) FOR THE PURPOSE OF THIS DOCUMENT, A BUILDING ENCLOSURE IS DEFINED AS THAT PORTION OF AN ELEVATED BUILDING, BELOW THE LOWEST ELEVATED FLOOR, THAT IS EITHER PARTIALLY OR FULLY SHUT IN BY RIGID WALLS. A GARAGE BE�OW OR ATTACHED TO AN ELEVATED BUILDING IS CONSIDERED AN ENCLOSURE. SUCH AREAS SHALL NOT CONTAIN MORE THAN 20 LINEAR FEET OF FINISHED INTERIOR WALLS (PANELING, ETC.) OR IT WILL BE CONSIDERED A FINISHED (HABITABLE) AREA. IF APPLICABLE, THE STRUCTURE CONTAINS: ❑ CRAWLSPACE ❑ ENCLOSURE ❑ ATTACHED GARAGE � N/A IF APPLICABLE, THE CRAWLSPACE CONTAINS �d�A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A gQ, FT. PER OPENING (MANUFACTURER: N/A — MODEL- N/A ). IF APPLICABLE, THE BOT"TOM FLOOR ENCLOSURE CONTAINS N/A ENGINEERED F�OOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: WA ). IF APPLICABLE, THE BOTTOM FLOOR ENCLOSURE CONTAtNS: N/A IF APPLICABLE, DOES THE BOTTOM FLOOR ENCLOSURE APPEAR TO CONTAIN BREAK-AWAY WALLS? ❑ YES ❑ NO � N/A A9.) IF APPLICAB�E, THE ATTACHED GARAGE CONTAINS N/A ENGINEERED FLOOD OPENING(S) CERTIFIED TO COVER N/A SQ. FT. PER OPENING (MANUFACTURER: N/A — MODEL: N/A ). A8. & A9.) FOR THE PURPOSE OF THIS DOCUMENT, A FLOOD OPENING IS DEFINED AS A PERMANENT OPENING IN AN DCTERIOR WALL THAT IS NO HIGHER THAN 1.0 FOOT ABOVE THE HIGHER OF THE EXTERIOR OR INTERIOR GRADE OR FLOOR IMMEDIATELY BELOW THE OPENING. B8.) UNLESS OTHERWISE NOTED IN SECTION B, ITEM 10, THE FLOOD ZONE WAS DETERMINED BASED ON THE FLOOD INSURANCE RATE MAP. IN CERTAIN CASES WHERE AN ACCURATE DETERMINATION COULD NOT BE MADE FROM THE MAP, FEMA'S INTERACTIVE MAP OR THE COUNTY'S G.I.S. OVERLAY MAY HAVE BEEN UTILIZED TO DETERMINE THE FLOOD ZONE. NO SEARCH OF THE PUBLIC RECORDS WAS PERFORMED FOR LOMA'S, LOMR'S, ETC. WHICH MAY AFFECT THE SITE. C2.e) NO MACHINERY AND/OR EQUIPMENT HAS BEEN INSTALLED. Attachment Page 7 of 7